<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ttclid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ttclid" class="form-control" name="row[ttclid]" type="text" value="{$row.ttclid|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Request_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-request_id" data-rule="required" class="form-control " name="row[request_id]" type="text" value="{$row.request_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pixel_code')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pixel_code" class="form-control" name="row[pixel_code]" type="text" value="{$row.pixel_code|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Access_token')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-access_token" class="form-control" name="row[access_token]" type="text" value="{$row.access_token|htmlentities}">
        </div>
    </div>
</form>
